Practice patterns and perceptions of margin status for breast conserving surgery for breast carcinoma: National Survey of Canadian General Surgeons

13Citations
Citations of this article
22Readers
Mendeley users who have this article in their library.

Abstract

Background: We surveyed Canadian General Surgeons to examine decision-making in early stage breast cancer. Methods: A modified Dillman Method was used for this mail survey of 1443 surgeons. Practice patterns and factors that influence management choices for: preoperative assessment, definition of margin status, surgical techniques and recommendations for re-excision were assessed. Results: The response rate was 51% with 41% treating breast cancer. Most (80%) were community surgeons, with equal distribution of low/medium/high volume and years of practice categories. Approximately 25% of surgeons "sometimes or frequently" performed diagnostic excisional biopsies while 90% report "frequently" or "always" performing preoperative core biopsies. There was marked variation in defining negative and close margins, in the use of intra-operative margin assessment techniques and recommendations for re-excision. Conclusions: Responses revealed significant variation in attitudes and practices. These findings likely reflect an absence of consensus in the literature and potential gaps between best evidence and practice. © 2012 Elsevier Ltd.

Cite

CITATION STYLE

APA

Lovrics, P. J., Gordon, M., Cornacchi, S. D., Farrokhyar, F., Ramsaroop, A., Hodgson, N., … Porter, G. (2012). Practice patterns and perceptions of margin status for breast conserving surgery for breast carcinoma: National Survey of Canadian General Surgeons. Breast, 21(6), 730–734. https://doi.org/10.1016/j.breast.2012.07.017

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free